Provider Demographics
NPI:1962723577
Name:CASTRO, VERONICA (PSYD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:
Last Name:CASTRO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9380 SUNSET DR
Mailing Address - Street 2:SUITE B-120
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3276
Mailing Address - Country:US
Mailing Address - Phone:305-722-5652
Mailing Address - Fax:305-274-0841
Practice Address - Street 1:9380 SUNSET DR
Practice Address - Street 2:SUITE B-120
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3276
Practice Address - Country:US
Practice Address - Phone:305-722-5652
Practice Address - Fax:305-274-0841
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 8077103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist